• Ann Fr Anesth Reanim · Nov 2013

    [Chronic pain after cesarean: Impact and risk factors associated.]

    • N Nardi, B Campillo-Gimenez, S Pong, P Branchu, C Ecoffey, and E Wodey.
    • Pôle d'anesthésie réanimation chirurgicale 2, université Rennes 1, hôpital Sud, 16, boulevard Bulgarie, 35203 Rennes cedex 2, France. Electronic address: nicolas.nardi@chu-rennes.fr.
    • Ann Fr Anesth Reanim. 2013 Nov 1;32(11):772-8.

    BackgroundChronic postoperative pain is a well-recognized problem after amputation, thoracotomy, mastectomy and inguinal hernia repair but has not been well evaluated after obstetric surgery.Study DesignRetrospective cohort.ObjectivesTo determine the rate of chronic pain after cesarean, their impact on quality of life of patients and risk factors associated with this complication.MethodsA questionnaire was sent to 220 consecutive patients who underwent caesarean delivery in a 6-month period. The questions focused on the duration of incisional pain after caesarean, severity and impact on daily activities. Meanwhile, a retrospective collection of clinical data (history, details of surgery and anaesthesia) was performed. After a descriptive analysis of the study population, a comparison of patients with and without DCPC was conducted to highlight potential risk factors.ResultsOne hundred and sixty-seven patients (76%) completed the survey. The average response time was 10months (range 8-12) after caesarean section. The postoperative pain was resoluted in most patients within three months but persisted in 25 patients (15%). Seven patients (4%) showed a deterioration of their quality of life because of daily moderate to severe incisional pain. Risk factors associated with chronic pain were the presence of acute pain in postoperative, pre-existing pain (headaches, back pain), a young age and the achievement of general anaesthesia without locoregional associated at caesarean section.ConclusionThe occurrence of chronic pain after cesarean section may be frequent and can be responsible for an impaired quality of life.Copyright © 2013 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…